JENNIFER M GOEDDEL MD
NPI 1396362091
Obstetrics & Gynecology in Santa Maria, CA

Q: What is Jennifer Goeddel's NPI number?

The NPI number for Jennifer Goeddel is 1396362091. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Q: What is Jennifer Goeddel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Goeddel was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment

1418 E MAIN ST STE 210, SANTA MARIA, CA 93454(805) 928-3678(805) 928-6408 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2026, Oct 1, 2024, Jun 29, 2020 (3 updates tracked since 2020).

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About Jennifer M Goeddel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER M GOEDDEL MD (NPI 1396362091) is an individual obstetrics & gynecology provider in Santa Maria, California, licensed in California (A197105) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Lake Forest.

NPPES Registry Identity

NPI1396362091

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJENNIFER M GOEDDELCredential: MD

Location Address1418 E MAIN ST STE 210Santa Maria, CA 93454-4836

Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8017 · Fax (805) 361-8097

Phone(805) 928-3678

Fax(805) 928-6408

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 29, 2020

Last NPPES UpdateMay 5, 20263 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1396362091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CA · A197105✔ Licensed in IL · 036179981✔ Licensed in MO · 2020018851

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1418 E MAIN ST STE 210, Santa Maria, CA 93454

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Secondary Practice Location 1

Location 1900 N Westmoreland Rd Ste 112Lake Forest, IL 60045-1680 · Phone (847) 535-7057 · Fax (847) 615-2260

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer M Goeddel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658794441

PECOS Enrollment IDI20260518003838

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Goeddel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Centers Of The Central Coast Inc

0.1 mi

Federally Qualified Health Center (FQHC)

1418 E MAIN ST, SUITE 210
Santa Maria, CA 93454

Reassigned Medicare billing, California enrollment
213 clinicians in this Medicare group

NPI 1174859425 (805) 928-3678

Northwestern Medical Faculty Foundation

1,799 mi

Multi-Specialty

DEPT 5777
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
4,817 clinicians in this Medicare group

NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$139.99 typical visit price

range $62.01 – $184.40

Typical copayment $34.99 (range $15.50 – $46.10)

Most-billed visit code 99204

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAYLA BROOKE MENJIVAR NP

Nurse Practitioner (Family)